Evidence map›Paper›PMID 41096817›Full record

ReviewInternational journal of molecular sciences2025

Overcoming Immune Therapy Resistance in Cancer Through Innate Immune Reprogramming.

Giada Mandracci, Nardine Soliman, Nadia El Khawanky

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
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  7. NK cells in HPV-related tumorigenesis: mechanisms and clinical applications.Frontiers in cellular and infection microbiology · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Giada MandracciDepartment of Medicine III, School of Medicine and Health, Technical University of Munich, 81675 Munich, Germany.ORCID 0009-0006-4805-6988
Nardine SolimanDepartment of Medicine III, School of Medicine and Health, Technical University of Munich, 81675 Munich, Germany.ORCID 0009-0002-8577-5333
Nadia El KhawankyDepartment of Medicine III, School of Medicine and Health, Technical University of Munich, 81675 Munich, Germany.ORCID 0009-0005-0159-4909

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Overcoming immune resistance remains the critical barrier to durable immunotherapy responses. Tumors with non-inflamed, "cold" microenvironments exclude cytotoxic lymphocytes and evade checkpoint blockade. Innate nucleic acid-sensing pathways-including TLRs, RIG-I-like RNA sensors, and the cGAS-STING DNA-sensing axis-can recondition this hostile landscape by licensing dendritic cells, restoring antigen presentation, and recruiting effector T and NK cells. In this review, we synthesize mechanistic insights into how these receptors function across tumor and immune compartments and evaluate recent translational advances spanning small-molecule and nucleic acid agonists, engineered delivery systems, and clinical trials. We highlight challenges that have limited clinical impact, including pathway silencing, systemic toxicity, and lack of predictive biomarkers, while emphasizing emerging solutions such as tumor-intrinsic targeting, CAR-T/NK engineering, and biomarker-guided patient selection. By integrating innate activation into rational combination regimens, innate immune reprogramming offers a blueprint to convert resistant disease into one susceptible to durable immune control.

Indexed as

Drug Resistance, NeoplasmImmunity, InnateImmunotherapyNeoplasmsAnimalsHumansKiller Cells, NaturalTumor Microenvironmentcancer immunotherapydendritic cellsimmune therapy resistanceinnate immunityMDA5nucleic acid sensingpattern recognition receptorsRIG-ISTING pathwayTLRstumor microenvironment

Identifiers

PMID41096817
PMCPMC12525178

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.